Skin Procedures

Age spots, also known as liver spots or solar lentigos, are flat, oval, and tan, brown, or black marks that appear on the skin as a result of aging and sun exposure. They are most common in people with fair complexions, but people with darker skin can also get them. Age spots can develop at any age, but are more common in older people.

Age spot treatments include:

• Medications – Topical creams can help reduce the age spots and gradually fade the spots over several months.
• Laser and intense pulsed light – Some laser and intense pulsed light therapies destroy melanin-producing cells (melanocytes) without damaging the skin’s surface. These approaches typically require two to three sessions. Wounding (ablative) lasers remove the top layer of skin (epidermis).
• Freezing (cryotherapy) – This procedure treats the spot by using a cotton-tipped swab to apply liquid nitrogen for five seconds or less. This destroys the extra pigment. As the area heals, the skin appears lighter.
• Dermabrasion – Dermabrasion sands down the surface layer of skin with a rapidly rotating brush. New skin grows in its place. You may need to undergo the procedure more than once. Possible side effects include temporary redness, scabbing and swelling. It may take several months for pinkness to fade.
• Microdermabrasion – Microdermabrasion is a less aggressive approach than dermabrasion. It leaves mild skin blemishes with a smoother appearance. You’ll need a series of procedures over months to get modest, temporary results. You may notice a slight redness or stinging sensation on the treated areas. If you have rosacea or tiny red veins on your face, this technique could make the condition worse.
• Chemical peel – This method involves applying a chemical solution to the skin to remove the top layers. New, smoother skin forms to take its place. Possible side effects include scarring, infection, and lightening or darkening of skin color. Redness lasts up to several weeks.

Cryotherapy is the use of extreme cold to freeze and remove abnormal tissue. We use it to treat many skin conditions (including warts and skin tags) and some skin cancers.

Stinging or pain may be felt during and after the procedure (this depends on the length of the freeze and the area being treated) but a local anesthetic is not usually required.

We provide same-day appointments for cryotherapy upon request.

A boil is a painful, pus-filled bump that forms under your skin when bacteria infect and inflame one or more of your hair follicles.

Most boils are caused by staph bacteria (Staphylococcus aureus), which many healthy people carry on their skin or in their noses without a problem. When a scrape, cut, or splinter breaks the skin, the bacteria can enter a hair follicle and start an infection. Others boils, such as those associated with acne, develop from clogged pores that become infected.

As soon as you have developed a boil or feel a cyst under your skin, you should consult a provider. We provide same-day checkups and take necessary measures to make sure you are not exposed to permanent skin damage, scars, and infection.

Electrodesiccation and curettage (ED&C) is a medical procedure that removes benign skin lesions and treats some types of skin cancer.

In this treatment, the provider first injects a medicine to numb the area. Then the skin tumor is removed by scraping it with a long, thin instrument with a sharp looped edge on one end (called a curette). The area is then treated with an electric needle (electrode) to destroy any remaining cancer cells. This process is often repeated once or twice during the same office visit.

Curettage and electrodesiccation is a good treatment for superficial (confined to the top layer of skin) basal cell and squamous cell cancers, as well as some pre-cancerous skin tumors.

If you have infected areas on your skin or blisters that occasionally open and bleed, you may have a serious bacterial infection. Internal infections can cause sepsis, which is one one the main causes of death secondary to infection. At our clinic, we provide same-day I&D and we test the drainage to treat you with the correct type of antibiotics.

IKL is a dermatology treatment that involves injecting a steroid, like Kenalog (triamcinolone acetonide), into the skin to reduce inflammation. This treatment has been used since 1961 to treat a number of skin conditions, including: acne cysts, keloids or hypertrophic scarring, alopecia areata, psoriasis, and chronic forms of eczema.

Lipomas are noncancerous, fatty lumps that grow between the skin and muscles and are usually harmless. They are often soft and rubbery, and you can usually move them by gently nudging them.

Most lipomas are removed surgically by cutting them out. Recurrences after removal are uncommon. Possible side effects are scarring and bruising. A technique known as minimal excision extraction may result in less scarring.

$90/session

Laser therapy for nail fungus is a treatment method that uses a focused laser beam to penetrate the nail and destroy the fungus responsible for the infection, offering a non-invasive way to target the fungal cells beneath the nail while minimizing damage to surrounding tissue. This treatment typically requires multiple sessions and results are visible as the new, healthy nail grows out, with most patients needing to wait several months to see full improvement.

A skin biopsy is a procedure that removes a small sample of skin from a lesion to help diagnose skin conditions, infections, or cancer. The sample is then sent to the pathology lab and examined under a microscope by a pathologist. Skin biopsies are performed by our provider in the clinic under local anesthetic. Pathology results are usually available in 4–10 days.

Skin tags (acrochordons) are small, noncancerous growths that tend to be the same color as your skin. They often look like a cluster of skin tissue extending out from a tiny stem. They’re sometimes darker and may resemble a raised mole. Most skin tags are between 1-5 mm, but some can grow as large as a few centimeters.

Depending on the size of the tags, we use different techniques to remove them.

Our wound care program includes providing advanced care for treating infections and assuring that underlying disease is well controlled.

You are a candidate for would care if you have:

• Diabetic neuropathic ulcers
• Infected wounds
• Surgical wounds
• Abscesses
• Pressure ulcers

We offer wound care, testing, and medication management as needed to assure your proper wound healing.

Education on diet management is provided in each and every visit to assure your wound is healed properly and minimize future recurrent infections.